Individual
MRS. ERIN RENAE WOTIPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 LYONS AVE, SCHULENBURG, TX 78956-1522
(979) 505-4061
Mailing address
800 AVENUE A, SCHULENBURG, TX 78956-5375
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
05/23/2020
Last updated
05/23/2020
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